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Running a clinic in Durban means navigating real constraints: load shedding can disrupt patient records and lab equipment, summer heat complicates storage of temperature-sensitive medications, and the city's traffic means people often run late. Newkwa Medical Centre operates within these conditions, managing patient flow while keeping systems running during power cuts and ensuring medical aid claims process even when digital infrastructure hiccups. The clinic handles chronic script management for patients managing diabetes, hypertension, and other conditions that demand reliable refill systems. Emergency after-hours care requires backup power and staff coordination. Staff must know how to work with different practice management systems, understand SARS compliance for billing, and coordinate with local hospitals when referrals are needed. Every part of the operation—from lab work to consultation—has to function despite the realities of practising medicine in KwaZulu-Natal.